How it works
Everything begins with an examination and consultation with a specialist in Plastic and Aesthetic Surgery. Your surgeon assesses how short the nose is, how upturned the tip is, the height of the bridge, the width of the base and the nostrils, how thick or thin the skin is, how open the airway is inside, and whether there is any local infection. You also have blood count and clotting tests before surgery.
The surgery is done under local anaesthesia, which means the nasal area is numbed while you stay awake. Depending on the method and any work done alongside it, the operation usually takes about 1 to 2 hours.
The heart of the surgery is lengthening the tip. Several different techniques exist, and your surgeon chooses the one that fits the cause and degree of change in your nose. If the nose is short because an old implant was placed too long, the surgeon may remove the old silicone piece, replace it, and add a cartilage graft at the tip. If the nose is short and upturned from birth or from an injury, the surgeon usually lengthens the tip with your own cartilage — taken from a rib, the ear, or the septum — grafted into different parts of the nose.
For the incision, depending on the person and the surgeon's approach, your surgeon may use an incision placed inside the nostrils (a "closed" rhinoplasty, which leaves no scar on the outside) or an incision that curves across the front of the columella (an "open" rhinoplasty). The incision is closed with fast-dissolving sutures or non-dissolving sutures.